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Toronto childhood cancer staging criteria for testicular cancer
Toronto Childhood Cancer Staging criteria for Testicular cancer
TIER 1
Localized
Tumour confined to the testes
Regional
Tumour extension to regional lymph nodes:
Interaortocaval
Para-aortic (periaortic)
Paracaval
Preaortic
Precaval
Retroaortic
Retrocaval
Along spermatic cord
Metastatic
Distant metastases present
TIER 2
Stage I
Tumour
Primary tumour cannot be assessed
No evidence of primary tumour (e.g. histologic scar in testis)
Tumour limited to the testis and epididymis without vascular/lymphatic invasion; tumour may invade into the tunica albuginea but not the tunica vaginalis
Tumour limited to the testis and epididymis with vascular/lymphatic invasion, or tumour extending through the tunica albuginea with involvement of the tunica vaginalis
Tumour invades the spermatic cord with or without vascular/lymphatic invasion
Tumour invades the scrotum with or without vascular/lymphatic invasion
Regional nodes
No regional lymph node metastasis
Distant metastasis
No distant metastasis
Stage II
Tumour
Primary tumour cannot be assessed
No evidence of primary tumour (e.g. histologic scar in testis)
Tumour limited to the testis and epididymis without vascular/lymphatic invasion; tumour may invade into the tunica albuginea but not the tunica vaginalis
Tumour limited to the testis and epididymis with vascular/lymphatic invasion, or tumour extending through the tunica albuginea with involvement of the tunica vaginalis
Tumour invades the spermatic cord with or without vascular/lymphatic invasion
Tumour invades the scrotum with or without vascular/lymphatic invasion
Regional nodes
Metastasis with a lymph node mass 2cm or less in greatest dimension; or multiple lymph nodes, none more than 2cm in greatest dimension.
Metastasis with a lymph node mass more than 2cm but not more than 5cm in greatest dimension; or multiple lymph nodes, any one mass greater than 2cm but not more than 5cm in greatest dimension
Metastasis with a lymph node mass more than 5cm in greatest dimension
Distant metastasis
Distant metastases present
Stage III
Tumour
Primary tumour cannot be assessed
No evidence of primary tumour (e.g. histologic scar in testis)
Tumour limited to the testis and epididymis without vascular/lymphatic invasion; tumour may invade into the tunica albuginea but not the tunica vaginalis
Tumour limited to the testis and epididymis with vascular/lymphatic invasion, or tumour extending through the tunica albuginea with involvement of the tunica vaginalis
Tumour invades the spermatic cord with or without vascular/lymphatic invasion
Tumour invades the scrotum with or without vascular/lymphatic invasion
Regional nodes
Regional lymph nodes cannot be assessed
No regional lymph node metastasis
Metastasis with a lymph node mass 2cm or less in greatest dimension; or multiple lymph nodes, none more than 2cm in greatest dimension.
Metastasis with a lymph node mass more than 2cm but not more than 5cm in greatest dimension; or multiple lymph nodes, any one mass greater than 2cm but not more than 5cm in greatest dimension
Metastasis with a lymph node mass more than 5cm in greatest dimension
Distant metastasis
Distant metastasis
Result :
Diagnostic criteria
not met
.
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